Individual
MS. MELISSA IVY SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
750 E THUNDERBIRD RD, SUITE 3, PHOENIX, AZ 85022-5306
(602) 674-6220
(602) 978-2198
Mailing address
2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
(623) 434-6200
(623) 434-6164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8695
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307119700
—
FL
Enumeration date
06/06/2006
Last updated
08/30/2016
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